Psychiatry’s ‘C’ words

      Current Psychiatry. 2018 July;17(7):4,6 By Henry A. Nasrallah, MD Recently, contemporary “culture” has capriciously confounded and confused our national community with a cringe-worthy “C” word. Unfortunately, this was followed by only transient public consternation, reflecting the coarsening of our social communication and discourse and the cant of many. But the ripple effects continue. As a psychiatrist who closely observes the human condition, I contemplated the current confrontational tone […]

Maslow Hierarchy for self actualization –هرمية ماسلو لتحقيق الذات –

 وضع ابراهام ماسلو نظرية ارتقاء و نمو النفس الى تحقيق الذات و لم يضع تعريفا دقيقا لتحقيق الذات و لكنه للتبسيط و على وجه العموم هو ان  تصل لمرحلة تبسط فيها رأيك و فكرتك في الوقت الذي تراه بالشكل الذي تراه أمام من تراه  و و تدافع عن فكرتك وتضحى من أجلها و و تبذل الغالي […]

Psychiatric documentation: Soap is not working?

Soap for follow up notes documentation doesn’t work with psychiatric demands. Promise is working better, do you find it useful?!!!                 Promise_Better psychiatric documentation   /Promise_Better-psychiatric-documentation.pdf”>Promise_Better psychiatric documentation               Better psychiatric documentation: From SOAP to PROMISE Because documentation is an important part […]

Dementia

  Dementia: main causes VITAMIN D VEST: Vitamin deficiency (B12, folate, thiamine) Intracranial tumour Trauma (head injury) Anoxia Metabolic (diabetes) Infection (postencephalitis, HIV) Normal pressure hydrocephalus Degenerative (Alzheimer’s, Huntington’s, CJD, etc) Vascular (multi infarct dementia) Endocrine (hypothyroid) Space occupying lesion (chronic subdural haematoma) Toxic (alcohol)  

Psychiatric mnemonics: Personality

Cluster personality disorders Cluster A Disorder =  Atypical. Unusual and eccentric. Cluster B Disorder = Beast. Uncontrolled wildness. Cluster C Disorder = Coward [avoidant type], Compulsive [obsessive-compulsive type], or Clingy [dependent type].       Middle adolescence (14-17 years): characteristics HERO: Heterosexual crushes/ Homosexual Experience Education regarding short term benefits Risk taking Omnipotence · And there is interest in being a Hero (popular).       Borderline personality: […]

Psychiatric mnemonics: sexual issues

  Impotence causes PLANE: Psychogenic: performance anxiety Libido: decreased with androgen deficiency, drugs Autonomic neuropathy: impede blood flow redirection Nitric oxide deficiency: impaired synthesis, decreased blood pressure Erectile reserve: can’t maintain an erection     Male erectile dysfunction (MED): biological causes MED: Medicines(propranalol, methyldopa, SSRI, etc.) Ethanol Diabetes mellitus       Male Erectile Dysfunction (MED): drugs […]

Psychiatric mnemonics in sleep disorders

    REM: features REM: Rapid pulse/ Respiratory rate Erection Mental activity increase/ Muscle paralysis     Parasomnias:   time of onset SLeep terrors and SLeepwalking occur during SLow-wave sleep (stages 3 & 4). NightmaRE occurs during REM sleep (and is REMembered).       Sleep stages:   features DElta waves during DEepest sleep (stages 3 & 4, slow-wave). dREaM during REMsleep.         Narcolepsy:   symptoms, […]

Psychiatric Mnemonics in Depression

Psychiatry Mnemonics Psychiatry Mnemonics                       Reinforcement schedules: variable ratio SLOT machines show SLOwesTextinction.     Depression: major episode DSM-IV criteria · First, of course depressed mood is one. Then: SIG E CAPS: Sleep disturbance Interest loss Guilt (or intense worthlessness) Energy loss Concentration loss Appetite changes Psychomotor agitation or […]

The ABCDEs of obstructive sleep apnea

Precipitating factors A Age, gender, and race. OSA has a higher prevalence among middle-age men and the incidence of OSA gradually increases in postmenopausal women. African American patients also are at increased risk. Bulkiness. Obesity is a significant risk factor for OSA, especially among middle-age men. Secondary fat deposition around the neck and decreased muscle […]

Dealing with ADHD in young becoming old

                                CRAFT is the mnemonic to screen for the young adult drug misuse, you can use it as a brief questionnaire in psychiatric clinic In this way you can discover if misuse is comorbid with ADHD or not? & Here […]